Preparation of a protocol for pediatric patients in cardiorespiratory arrest in a children's hospital

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27149

Keywords:

Pediatrics; Cardiopulmonary Resuscitation; Hospital Rapid Response Team; Nursing.

Abstract

Objective: To develop a protocol for the care of pediatric patients in Cardiorespiratory Arrest in a pediatric hospital in Fortaleza. Methodology: a methodological study. In the first stage, an integrative review was carried out with a search in the Pubmed/Medline, Latin American and Caribbean Literature in Health Sciences databases (LILACS); Scientific Electronic Library Online (SCIELO), and Google Scholar with the descriptors "cardiopulmonary resuscitation", "pediatrics" and "rapid response team", with a final sample of 08 scientific articles. The second stage was the preparation of the proposed protocol. Results: sample showed that the pediatric public, before evolving to a cardiorespiratory arrest event begins to present changes in vital signs and warning of physiological decline a few hours before the event itself, around 3 to 11 hours, and enters the main positive skills/characteristics, cited as necessary to professionals involved in cardiopulmonary resuscitation, are: communication (41%), experience (25%), proactivity (17%) and confidence (17%). Conclusion: the study has implications for clinical practice, such as defining specific functions for professionals involved in cardiopulmonary resuscitation, outside the intensive care and emergency environment, highlighting the main problematic points, thus pointing out opportunities for improvement and alignment of the performance of all professionals.

Author Biographies

Thaysa Grasiely Sousa de Oliveira, Escola de Saúde Pública do Ceará

She holds a degree in Nursing from the Federal University of Ceará (UFC), and is currently studying a specialization course in the Multiprofessional Residency in Pediatrics, from the School of Public Health of Ceará. She has experience in Nursing, with an emphasis on Health Promotion, working mainly in the lines of Research: Nursing, Pediatrics, Health Education, Accessibility, People with Disabilities and Technologies.

Giselle Pereira Rovere, Hospital Infantil Albert Sabin

Preceptor of the multiprofessional residency program. Emergency Department at the Emergency Department. He works in pediatric cardiac surgery and pediatric endoscopy. Coordinated the Pediatric Surgical Intensive Care Unit. Master by the Brazilian Institute of Intensive Therapy. Graduated in Nursing from the University of Fortaleza (2008). Postgraduate in neonatology from the Federal University of Ceará (2010). She was a member of the GAV (Group of Venous Access) qualified in the implantation of PICC (Peripherally Inserted Central Catheter). Nurse member of CIHDOTT (Intra-Hospital Commission for Organ Donation and Tissue Transplantation).

Patricia de Lemos Negreiros, Hospital Regional do Sertão Central do Ceará

Graduated in Nursing from the State University of Vale do Acaraú (2007). Master in Education and Teaching from the State University of Ceará (UECE) (2016). She works as a Continuing Education Nurse at the Regional Hospital of Sertão Central - HRSC/ISGH, as a Nurse on duty at the Psychosocial Care Center for Alcohol and Other Drugs - Alpendre de Quixeramobim and as a professor of technical, undergraduate and graduate courses at the Faculty of Quixeramobim. - UNIQ. He has experience in the assistance and management of Primary Health Care, Mental Health, Academic Management and Permanent Education. Priority areas of study: Therapeutic Communication, Mental Health, Comprehensive Care for Users of Alcohol and Other Drugs, Continuing Education, Active Learning Methodologies and Collective Health.

Regina Cláudia de Oliveira Melo, Universidade Federal do Ceará

PhD in Nursing from the Federal University of Ceará. Specialist in Professional Education in the Nursing Health Area by ENSP / Fiocruz. Specialist in Obstetric Nursing and Graduated in Nursing from the State University of Ceará (1993). Researcher at the Child and Family Health Research Group (UFC). Acting as an Assistant Nurse at the Albert Sabin Children's Hospital - HIAS / Health Department of the State of Ceará (SESA) and Nursing Department at the Federal University of Ceará (UFC). Reviewer of the journal - Revista da Rede de Enfermagem do Nordeste (Rev Rene). Member of the Ethics Committee in Research on Human Beings of the School of Public Health of the State of Ceará (ESP/CE). Experience in Nursing, with emphasis on Neonatal and Obstetric Nursing.

References

Alves, F. G., & Maia, L. F. S. (2011). A importância do treinamento em PCR e RCP para os profissionais de enfermagem em unidade de terapia intensiva. Revista Recien - Revista Científica de Enfermagem, 1(2), 11-16. 10.24276/rrecien2177-157x.2011.1.2.11-16.

Araújo, K. A., Jacquet, P., Santos, S. S., Almeida, V., & Nogueira, S. F. (2008). Reconhecimento da parada cardiorrespiratória em adultos: nível de conhecimento dos enfermeiros de um pronto-socorro municipal da cidade de São Paulo. Rev Inst Ciênc Saúde, 2 (26), 183-190.

Atkins, D. L., Everson-Stewart, S., Sears, G. K., Daya, M., Osmond, M. H., Warden, C. R., & Berg, R. A. (2009). Epidemiology and Outcomes From Out-of-Hospital Cardiac Arrest in Children. Circulation, 119(11), 1484-1491. 10.1161/circulationaha.108.802678.

Bhanji, F., Donoghue, A. J., & Wolff, M. S. et al. (2015). Parte 14: Educação: Atualização das diretrizes da American Heart Association de 2015 para ressuscitação cardiopulmonar e atendimento cardiovascular de emergência. Circulation, 132 (2), 561-573.

Boniatti, M. et al. (2014). Delayed medical emergency team calls and associated outcomes. Crit Care Med, 42(1), 26–30. 10.1097/CCM.0b013e31829e53b9.

Campos, L. P. S., Oliveira, M. M. C., Silva, L. S., Moraes, J. A. S., Felzemburgh, R. D. M., Whitaker, M. C. O., Silva, E. A., & Silva, J. C. (2019). Conduta da

equipe de enfermagem na parada cardiorrespiratória em crianças. Revista de Enfermagem Ufpe On Line, 13, 13-20. 10.5205/1981-8963.2019.243150.

Cheng, A., & Mikrogianakis, A. (2018). Rapid response systems for paediatrics: suggestions for optimal organization and training. Paediatrics & Child Health, 23 (1), 51-57. 10.1093/pch/pxx133

Couto, T. B., & Reis, A. G. (2011). Atualização em Ressuscitação Cardiopulmonar Pediátrica. https://www.spsp.org.br/2011/06/07/atualizacao_em_ressuscitacao_cardiopulmonar_pediatrica/

Douglas, K., Collado, J. C., & Keller, S. (2016). Implementation of a Pediatric Early Warning Scoring System at an Academic Medical Center. Critical Care Nursing Quarterly, 39 (4), 363-370. 10.1097/cnq.0000000000000130.

ECC, Committee. (2005). Subcommittees and Task Forces of the Hearth American Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 112 (24), 1-203. 10.1161/circulationaha.105.166550.

Ercole, F. F., Melo, L. S., & Alcoforado, C. L. G. C. (2014). Integrative review versus systematic review. Reme: Revista Mineira de Enfermagem, 18 (1), 5-8. 10.5935/1415-2762.20140001.

Field, J. M., Hazinski, M. F., Sayre, M. R., Chameides, L., Schexnayder, S. M., Hemphill, R., Samson, R. A., Kattwinkel, J., Berg, R. A., & Bhanji, F. (2010). Part 1: executive summary. Circulation, 122 (183), 640-656. 10.1161/circulationaha.110.970889.

Garcia, M. J. S., Cid, J. J. L., Pleite, E. M. A., García, O. C., Alegre, E. G., & Sánchez, M. J. B. et al. (2003). Training in cardiopulmonary reanimation with early desfibrillation to nurses from the 7th area of Madrid. Enfermería Intensiva, 14 (1), 7-15.

Gilroy, H., Salley, D., Hanning, L., Krawacki, A., Schafer, L., & Mattran, K. (2020). Developing the WATCh Nurse: a qualitative approach to understanding a pediatric rapid response role. Journal Of Pediatric Nursing, 52, 64-69. 10.1016/j.pedn.2020.03.002.

Gonzalez, M. M., Timerman, S., Oliveira, R. G.; Polastri, T. F., Dallan, L. A. P., Araújo, S., & Gould, D. (2007). Promovendo a segurança do paciente: A equipe de resposta médica rápida. Perm J, 11(3), 26–34.

Guimarães, J. I., Timerman, S., Souza, G. E. C., Quilici, A. P., Gonzalez, M. M. C., & Gomes, A. G. et al. (2003). Diretriz de apoio ao suporte avançado de vida em cardiologia - Código Azul - Registro de ressuscitação normatização do carro de emergência. Arquivos Brasileiros de Cardiologia [online], 81(4), 3-14. 10.1590/S0066-782X2003001800001.

Lopes, J. L., Silva, R. C. G., Quilici, A. P., Palomo, J. S. H., Gonzales, M. M. C., & Ferreira, F. G. (2012). Implantação dos Times de Reposta Rápida: experiência de um hospital de alta complexidade em cardiopneumologia. Rev Bras Clin Med, 10 (5), 394 – 397.

Melnyk, B. M. & Fineout-Overholt, E. (2005). Making the case for evidence-based practice. In B. M. Evidence-based practice in nursing & healthcare:a guide to best practice. (pp. 3-24). Philadelphia: Lippincot Williams & Wilkins.

Mendes, K. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17 (4), 758-764.

Miranda, J. O. F., Camargo, C. L., Nascimento Sobrinho, C. L., Portela, D. S., Monaghan, A., Freitas, K. S., & Mendoza, R. F. (2016a) Tradução e adaptação de um escore pediátrico de alerta precoce. Revista Brasileira de Enfermagem, 69 (5), 888-896. 10.1590/0034-7167-2015-0096.

Miranda, J. O. F., Camargo, C. L., Nascimento Sobrinho, C. L., Portela, D. S., & Monaghan, A. (2016b). Deterioração clínica em crianças hospitalizadas: revisão integrativa de um escore pediátrico de alerta precoce. Rev. Enferm. Ufpe On Line, 10 (3), 1128-1136.

Miranda, J. O. F., Camargo, C. L., Nascimento Sobrinho, C. L., Portela, D. S., & Monaghan, A. (2017). Accuracy of a pediatric early warning score in the recognition of clinical deterioration. Revista Latino-Americana de Enfermagem, 25, 25-28. 10.1590/1518-8345.1733.2912.

Monaghan, A. (2005). Detecting and managing deterioration in children. Paediatric Care, 17 (1), 32-35. 10.7748/paed2005.02.17.1.32.c964.

Mos, N., Van Litsenburg, R. R. L., Mccrindle, B., Bohn, D. J., & Parshuram, C. S. (2006). Pediatric in-intensive-care-unit cardiac arrest: incidence, survival, and predictive factors. Critical Care Medicine, 34 (4), 1209-1215. 10.1097/01.ccm.0000208440.66756.c2.

Nadkarni, V., Hazinski, M. F., Zideman, D., Kattwinkel, J., Quan, L., Bingham, R., Zarittsky, A., Bland, J., Kramer, E., & Tiballs, J. (1998). Suporte de vida em pediatria. Arquivos Brasileiros de Cardiologia, 70 (5), 371-381. 10.1590/S0066-782X1998000500013

National patient Safety Agency. (2007). Recognising and responding appropriately to early signs of deterioration in hospitalized patients. https://www.patientsafetyoxford.org/wp-content/uploads/2018/03/NPSA-DeteriorPatients.pdf

Olasveengen, T. M., Mancini, M. E., Perkins, G. D., Avis, S., Brooks, S., & Castrén, M. et al. (2020). Adult Basic Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 142(16), 41-91. 10.1161/CIR.0000000000000892

Polit, D. F., & Beck, C, T. (2011). Fundamentos da pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem. 7a ed. Porto Alegre: ArtMed.

Santana-Santos, E., Bezerra, D. G., Alberto, M. R., Ferreira, F. G., Palomo, J. S. H., Silva, C. C. B., & Sallai, V. S. (2017). Perfil de atendimentos do código azul em um hospital escola especializado em cardiopneumologia. Revista Cubana de Enfermería, 33 (1), 1-6.

Shearer B, Marshall S, Buist M, Finnigan M, Kitto S, & Hore T, et al. (2012). O que impede a equipe clínica do hospital de seguir os protocolos? Uma análise da incidência e dos fatores por trás da falha da equipe clínica à beira do leito em ativar o sistema de resposta rápida em um serviço de saúde metropolitano australiano com vários campi. BMJ Qual Saf, 21 (7), 569–75.

Silva, A. C. (2016). Desenvolvimento de ambiente virtual de aprendizagem para a capacitação em parada cardiorrespiratória. Dissertação (Programa de Pós-graduação em Mestrado Profissional de Tecnologia e Inovação em Enfermagem), Universidade de São Paulo, São Paulo, Brasil. https://www.teses.usp.br/teses/disponiveis/22/22134/tde-02022016-104809/pt-br.php

Sundararajan, K., Flabouris, A., & Thompson, C. (2016). Diurnal variation in the performance of rapid response systems: the role of critical care services⠴a review article. Journal Of Intensive Care, 4 (1), 15-26. 10.1186/s40560-016-0136-5.

Werneck, M. A. F., Faria, H. P., & Campos, K. F. C. (2009). Protocolo de Cuidados à Saúde e de Organização do Serviço. https://www.nescon.medicina.ufmg.br/biblioteca/imagem/1750.pdf

Zheng, Z. -J., Croft, J. B., Giles, W. H., & Mensah, G. A. (2001). Sudden Cardiac Death in the United States, 1989 to 1998. Circulation, 104 (18), 2158-2163. 10.1161/hc4301.098254

Downloads

Published

14/03/2022

How to Cite

OLIVEIRA, T. G. S. de .; ROVERE, G. P. .; NEGREIROS, P. de L. .; MELO, R. C. de . O. . Preparation of a protocol for pediatric patients in cardiorespiratory arrest in a children’s hospital. Research, Society and Development, [S. l.], v. 11, n. 4, p. e15411427149, 2022. DOI: 10.33448/rsd-v11i4.27149. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27149. Acesso em: 19 apr. 2024.

Issue

Vol. 11 No. 4

Section

Health Sciences

License

Copyright (c) 2022 Thaysa Grasiely Sousa de Oliveira; Giselle Pereira Rovere; Patricia de Lemos Negreiros; Regina Cláudia de Oliveira Melo

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.